Artigo Acesso aberto Revisado por pares

Ingrown and pincer nails: evaluation and treatment

2002; Wiley; Volume: 15; Issue: 2 Linguagem: Inglês

10.1046/j.1529-8019.2002.01519.x

ISSN

1529-8019

Autores

Eckart Haneke,

Tópico(s)

Cutaneous lymphoproliferative disorders research

Resumo

Dermatologic TherapyVolume 15, Issue 2 p. 148-158 Ingrown and pincer nails: evaluation and treatment E. Haneke, Corresponding Author E. HanekeAddress correspondence and reprint requests to: Eckart Haneke, MD, PhD, Institute of Dermatology, Klinikk Bunæs, Løkkeåsveien 3, 1337 Sandvika, Norway, or e-mail: [email protected].Search for more papers by this author E. Haneke, Corresponding Author E. HanekeAddress correspondence and reprint requests to: Eckart Haneke, MD, PhD, Institute of Dermatology, Klinikk Bunæs, Løkkeåsveien 3, 1337 Sandvika, Norway, or e-mail: [email protected].Search for more papers by this author First published: 19 July 2002 https://doi.org/10.1046/j.1529-8019.2002.01519.xCitations: 11Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Abstract Ingrown toenails are mainly a condition of children and young adults, whereas ingrown fingernail and pincer nails are seen in adults. Their etiology is multifactorial. Different types of ingrowing nails require different treatments. Neonatal ones are always treated conservatively. The hypertrophic lateral nail wall seldom requires surgery. Congenital misalignment of the big toenail may resolve spontaneously, but delay in treatment may cause permanent nail dystrophy. The juvenile type is most common and is treated conservatively in its early stages. Selective matrix horn phenolization or excision is the treatment of choice for later stages. Pincer nails are due to widening of the base of the distal phalanx. Treatment is aimed at reducing the outward pressure of the lateral osteophytes on the matrix horns and permanently flattening the nail. A variety of different methods are discussed. References 1 Haneke E. Pathogenese-orientierte Behandlung eingewachsener Zehennägel und des angeborenen Nagelschiefstandes bei Kindern. In: G Burg, AA Hartmann, B Konz, eds. Onkologische Dermatologie. Neue Aspekte. Altersbedingte Besonderheiten. Fortschritte der operativen und onkologischen Dermatologie, vol. 7. Berlin: Springer, 1992: 243– 245 2 Rufli T, von Schultheiss A, Itin P. Congenital hypertrophy of the lateral nail folds of the hallux. Dermatology 1992: 184: 296– 297. 3 Piraccini BM, Parente GL, Varotti E, Tosti A. Congenital hypertrophy of the lateral nail folds of the hallux: clinical features and follow-up of seven cases. Pediatr Dermatol 2000: 17: 348– 351. 4 Guéro S, Guichard S, Fraitag SR. Ligamentary structure of the base of the nail. Surg Radiol Anat 1994: 16: 47– 52. 5 Baran R, Bureau H. Congenital malalignment of the big toe-nail as a cause of ingrowing toe-nail in infancy. Pathology and treatment (a study of thirty cases). Clin Exp Dermatol 1983: 8: 619– 623. 6 Baran R, Haneke E. Etiology and treatment of nail malalignment. Dermatol Surg 1998: 24: 719– 721. 7 Von Zons P, Mainusch O, Haneke E. Congenital malalignment of the big toenail. Ann Dermatol Venereol 1998: 125(suppl 1): S56. 8 Steigleder GK, Stober-Münster J. Das Syndrom des eingewachsenen Nagels. Z Hautkr 1977: 52: 1225– 1229. 9 Heifetz CJ. Ingrown toenail. Am J Surg 1937: 38: 298– 315. 10 Maeda N, Mizuno N, Ichikawa K. Nail abrasion: a new treatment for ingrown toe-nails. J Dermatol 1990: 17: 746– 749. 11 Fishman HC. Practical therapy for ingrown toenails. Cutis 1983: 32: 159– 160. 12 Senapati A. Conservative outpatient management of ingrowing toenails. J R Soc Med 1986: 79: 339– 340. 13 Ilfeld FW. Ingrown toenail treated with cotton collodion insert. Foot Ankle 1991: 11: 312– 313. 14 Haneke E, Arai H. Mechanische Therapie von Nagelerkrankungen: Polsterung, Pflasterzug, Röhrchen, Spangen, Kunstnägel. In: G Plewig, ed. Fortschritte der Praktischen Dermatologie und Venerologie, vol. 17. Berlin: Springer, 2001: 250– 253 15 Manca D. Practice tips. Taping toes. Effective treatment for ingrown toenails. Can Fam Physician 1998: 44: 275. 16 Nishioka K, Katayama I, Kobayashi Y, Takijiri C, Nishioka K. Taping for embedded toenails. Br J Dermatol 1985: 113: 246– 247. 17 Scholz N, Harrer J, Schneider I. Die konservative Behandlung eingewachsener Zehennägel mit Nagel-Korrekturspangen. Akt Dermatol 1999: 25: 340– 345. 18 Wallace WA, Milne DD, Andrew T. Gutter treatment for ingrowing toenails. J Br Med 1973: 2: 168– 171. 19 Higashi N. Application of artificial nail for the treatment of ingrown nail. Rinsho Derma (Tokyo) 1993: 35: 417– 421. 20 Higashi N, Kume A, Ueda K. Treatment of nail deformity with sculptured nail. Skin Res 1996: 38: 296– 300. 21 Haneke E. Surgical treatment of ingrown toenails. Cutis 1986: 37: 251– 256. 22 Grieg JD, Anderson JH, Ireland AJ, Anderson JR. The surgical treatment of ingrowing toenails. J Bone Joint Surg 1991: 73B: 131– 133. 23 Zook EG, Baran R, Haneke E, Dawber RPR, Brauner G. Nail surgery and traumatic abnormalities. In: R Baran, RPR Dawber, eds. Diseases of the nails and their management. Oxford: Blackwell Science, 2001: 425– 514. 24 Browne J, Fung M, Donnelly M, Cooney C. The use of EMLA reduces the pain associated with digital ring block for ingrowing toenail correction. Eur J Anaesthesiol 2000: 17: 182– 184. 25 Connolly AA, Meyer LC, Tate JJ. Local anaesthetic agents in surgery for ingrown toenail. Br J Surg 1994: 81: 425– 426. 26 Chiu DTW. Transthecal digital block: flexor tendon sheath used for anesthetic infusion. J Hand Surg 1990: 15A: 471– 473. 27 Cheveleraud E, Ragot JM, Brunelli E, Dumontier C, Brunelli F. Anesthésie locale par la gaîne du fléchisseur. Ann Fr Anesth Reanim 1993: 12: 237– 240. 28 Ohnishi N. Effectiveness of transthecal digital block. J Jpn Soc Surg Hand 1998: 14: 930– 932. 29 Robb JE, Murray WR. Phenol cauterization in the management of ingrowing toenails. J Scott Med 1982: 27: 236– 239. 30 Morkane AJ, Robertson RW, Inglis GS. Segmental phenolization of ingrowing toenails: a randomized controlled study. Br J Surg 1984: 71: 526– 527. 31 Kimata Y, Uetake M, Tsukada S, Harii K. Follow-up study of patients treated for ingrown nails with the nail matrix phenolization method. Plast Reconstr Surg 1995: 95: 719– 724. 32 Zaborszky Z, Fekete L, Tauzin F, Orgovan G. Treatment of ingrowing toenail with segmental chemical ablation. Acta Chir Hung 1997: 36: 398– 400. 33 Mori H, Umeda T, Nishioka K, Iida H, Aoki K, Yokoyama A. Ingrown nails: a comparison of the nail matrix phenolization method with the elevation of the nail bed-periosteal flap procedure. J Dermatol 1998: 25: 1– 4. 34 De Berker DA. Phenolic ablation of the nail matrix. Australas J Dermatol 2001: 42: 59– 61.DOI: 10.1046/j.1440-0960.2001.00477.x 35 Caronia V, Battistioli M, Gualandi O, Marchese M, Bonotto G. Treatment of the ingrown toenail by phenol cauterization (ASLUF). Minerva Chir 2001: 56: 199– 203. 36 Aksakal AB, Atahan C, Oztas P, Oruk S. Minimizing postoperative drainage with 20% ferric chloride after chemical matricectomy with phenol. Dermatol Surg 2001: 27: 158– 160. 37 Sugden P, Levy M, Rao GS. Onychocryptosis-phenol burn fiasco. Burns 2001: 27: 289– 292. 38 Felton PM, Weaver TD. Phenol and alcohol chemical matrixectomy in diabetic versus nondiabetic patients. A retrospective study. J Am Podiatr Med Assoc 1999: 89: 410– 412. 39 Reyzelman AM, Trombello KA, Vayser DJ, Armstrong DG, Harkless LB. Are antibiotics necessary in the treatment of locally infected ingrown toenails? Arch Fam Med 2000: 9: 930– 932. 40 Dovison R, Keenan AM. Wound healing and infection in nail matrix phenolization wounds. Does topical medication make a difference? J Am Podiatr Med Assoc 2001: 91: 230– 233. 41 Van Gils CC, Roeder B, Chesler SM, Mason S. Improved healing with a collagen-alginate dressing in the chemical matricectomy. J Am Podiatr Med Assoc 1998: 88: 452– 456. 42 Austin RT. A method of excision of the germinal matrix. Proc R Soc Med 1970: 63: 757– 758. 43 Haneke E. Segmentale Matrixverschmälerung zur Behandlung des eingewachsenen Zehennagels. Dtsch Med Wschr 1984: 109: 1451– 1453. 44 Krull EA. Toenail surgery. In: EA Krull, EG Zook, R Baran, E Haneke, eds. Nail surgery. A text and atlas Philadelphia: Lippincott; 2001: 135– 161. 45 Robb JE. Surgical treatment of ingrowing toenails in infancy and childhood. Z Kinderchir 1982: 36: 63– 65. 46 Palmer BV, Jones A. Ingrowing toenails: the results of treatment. Br J Surg 1979: 66: 575– 576. 47 Antrum RM. Radical excision of the nailfold for ingrowing toenail. J Bone Joint Surg 1984: 66B: 63– 65. 48 Rounding C, Hulm S. Surgical treatments for ingrowing toenails. Cochrane Database Syst Rev 2000: 2: CD001541. 49 Sonnex TS, Dawber RP. Treatment of ingrowing toenails with liquid nitrogen spray cryotherapy. Br Med J [Clin Res Ed] 1985: 291(6489): 173– 175. 50 Kerman BL, Kalmus A. Partial matricectomy with electrodesiccation for permanent repair of ingrown nail borders. J Foot Surg 1982: 21: 54– 56. 51 Zuber TJ, Pfenninger JL. Management of ingrown toenails. Am Fam Physician 1995: 52: 181– 190. 52 Hettinger DF, Valinsky MS, Nuccio G, Lim R. Nail matrixectomies using radio wave technique. J Am Podiatr Med Assoc 1991: 81: 317– 321. 53 Takahashi M, Narisawa Y. Radical surgery for ingrown nails by partial resection of the nail plate and matrix using a carbon dioxide laser. J Cutan Laser Ther 2000: 2: 21– 25. 54 Umeda T, Nishioka K, Ohara K. Ingrown toenails: an evaluation of elevating the nail bed-periosteal flap. J Dermatol 1992: 19: 400– 403. 55 Tweedie JH, Ranger I. A simple procedure with nail preservation for ingrowing toenails. Arch Emerg Med 1985: 2: 149– 154. 56 Goldenhersh MA, Prus D, Ron N, Rosenmann E. Merkel cell tumor masquerading as granulation tissue on a teenager's toe. Am J Dermatopathol 1992: 14: 560– 563. 57 Connelley LK Jr, Dinehart SM, McDonald R. Onychocryptosis associated with the treatment of onychomycosis. J Am Podiatr Med Assoc 1999: 89: 24– 26. 58 Weaver TD, Jespersen DL. Multiple onychocryptosis following treatment of onychomycosis with oral terbinafine. Cutis 2000: 66: 211– 212. 59 Alam M, Scher RK. Indinavir-related recurrent paronychia and ingrown toenails. Cutis 1999: 64: 277– 278. 60 James CW, McNelis KC, Cohen DM, Szabo S, Bincsik AK. Recurrent ingrown toenails secondary to indinavir/ritonavir combination therapy. Ann Pharmacother 2001: 35: 881– 884. 61 Baran R. Actions thérapeutiques et complications du rétinoïde aromatique sur l'appareil unguéal. Ann Dermatol Venereol 1982: 109: 367– 371. 62 Howard WR. Ingrown toenail, its surgical treatment. J N Y Med 1893: 01: 579. 63 Gréco J, Kiniffo HV, Chanterelle A, Lapierre F, Gordien J. L'attaque des parties molles, secret de la cure de l'ongle incarné. Un point de technique. Ann Chir Plast 1973: 18: 363– 366. 64 Dubois JP. Un traitement de l'ongle incarné. Nouv Presse Méd 1974: 3: 1938– 1940. 65 Haneke E. Etiopathogénie et traitement de l'hypercourbure transversale de l'ongle du gros orteil. J Med Esth Chir Dermatol 1992: 19: 123– 127. 66 Parrinello JF, Japour CJ, Dykyj D. Incurvated nail. Does the phalanx determine nail plate shape? J Am Podiatr Med Assoc 1995: 85: 696– 698. 67 Baran R, Haneke E, Richert B. Pincer nails. definition and surgical treatment. Dermatol Surg 2001: 27: 261– 266. 68 Eke N, Little K. An embedded fingernail. Postgrad Med J 1982: 58: 32. 69 Haneke E. Unguis incarnatus. In: J Koller, H Hinter, eds. Krankheiten der Hautanhangs-gebilde, Wund-und Narbenmanagement. Fortschritte der operativen und onkologischen Dermatologie, vol. 16. Berlin: Blackwell, 2000: 8– 18 70 Rosa IP, Garcia MLP, Mosca FZ. Tratamento cirúrgico da hipercurvatura do leito ungueal. An Bras Dermatol 1989: 64: 115– 117. 71 Kosaka M, Kamiishi H. New surgical technique in incurvated nail deformities. J Jpn Plast Reconstr Surg 1999: 19: 676– 681. 72 Brown RE, Zook EG, Williams J. Correction of pincer nail deformity using dermal grafting. Plast Reconstr Surg 2002: 105: 1658– 1661. 72 Gingrass MK, Brown RE, Zook EG. Treatment of fingernail deformities secondary to ganglions of the DIP joint. J Hand Surg 1995: 20A: 502– 505. Citing Literature Volume15, Issue2June 2002Pages 148-158 ReferencesRelatedInformation

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